Individual
SHUKLA S. SUCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301051854
MI
2083X0100X
Occupational Medicine Physician
Primary
4301051854
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SS051854
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
09/11/2025
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